Organization Active NPI

DRS. Ford and Edwards, PLLC

  • Optometrist
  • Elk City, OK
National Provider Identifier
1225369267
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS. FORD AND EDWARDS, PLLC
Practice address
101 N Randall Ave
Elk City, OK 73644-5231
Phone
(580) 225-1980
Fax
(580) 225-8648
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary L Ford, OD
Title
Co-Owner
Phone
(580) 225-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

101 N Randall Ave
Elk City, OK 73644-5231

Mailing address

PO Box 624
Elk City, OK 73648-0624
Phone (580) 225-1980

Other identifiers 1

IdentifierTypeStateIssuer
100734930AMedicaidOK

National Provider Directory

National Provider Directory

Locations

101 N Randall Ave
Elk City, OK 73644
Phone (580) 225-1980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1225369267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480624",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N RANDALL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445231",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FORD AND EDWARDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "580-225-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100734930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.